Adequacy of Oral Intake in Critically Ill Patients 1 Week after Extubation

Peterson, Sarah J.; Tsai, Annalisa A.; Scala, Celina M.; Sowa, D.; Sheean, Patricia M.; Braunschweig, Carol L.

doi:10.1016/j.jada.2009.11.020

Cited by 158 publications

(145 citation statements)

References 36 publications

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“…This is far insufficient in the anabolic phase of rehabilitation when a caloric intake of 1.2-1.5× resting energy expenditure is recommended and thought to be required. 101 It also emphasizes the importance of closely observing food intake in postoperative patients. In patients who have lost significant weight after surgery/illness, a considerable period of significant increases in calorie and protein delivery is required for recovery.…”

Section: Role Of Nutrition In Optimizing Recovery From Surgery Posthomentioning

confidence: 99%

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

Wischmeyer

Carli

Evans

et al. 2018

Anesthesia &Amp; Analgesia

335

327

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Perioperative malnutrition has proven to be challenging to define, diagnose, and treat. Despite these challenges, it is well known that suboptimal nutritional status is a strong independent predictor of poor postoperative outcomes. Although perioperative caregivers consistently express recognition of the importance of nutrition screening and optimization in the perioperative period, implementation of evidence-based perioperative nutrition guidelines and pathways in the United States has been quite limited and needs to be addressed in surgery-focused recommendations. The second Perioperative Quality Initiative brought together a group of international experts with the objective of providing consensus recommendations on this important topic with the goal of (1) developing guidelines for screening of nutritional status to identify patients at risk for adverse outcomes due to malnutrition; (2) address optimal methods of providing nutritional support and optimizing nutrition status preoperatively; and (3) identifying when and how to optimize nutrition delivery in the postoperative period. Discussion led to strong recommendations for implementation of routine preoperative nutrition screening to identify patients in need of preoperative nutrition optimization. Postoperatively, nutrition delivery should be restarted immediately after surgery. The key role of oral nutrition supplements, enteral nutrition, and parenteral nutrition (implemented in that order) in most perioperative patients was advocated for with protein delivery being more important than total calorie delivery. Finally, the role of often-inadequate nutrition intake in the posthospital setting was discussed, and the role of postdischarge oral nutrition supplements was emphasized.

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Section: Role Of Nutrition In Optimizing Recovery From Surgery Posthomentioning

confidence: 99%

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

Wischmeyer

Carli

Evans

et al. 2018

Anesthesia &Amp; Analgesia

335

327

View full text Add to dashboard Cite

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“…Poor oral intake is also common following mechanical ventilation. Peterson et al [ 31 ] reported that mental status changes, loss of appetite, nausea and vomiting, dislike of food, and diffi culty chewing or swallowing were the most frequent reasons for poor oral intake after extubation. Each patient requires careful attention, monitoring, and development of an individual nutrition care plan.…”

Section: Patient Populations At Riskmentioning

confidence: 99%

“…It is important to temper wishful thinking that the patient will eat soon and will eat enough. Peterson et al [ 31 ] found that oral intake of ICU patients who were allowed a diet was less than 50 % of requirements in the fi rst 7 days following extubation.…”

Section: Assessing Intakementioning

confidence: 99%

Assessment of the Patient

Winkler

Lynch

Lueckel

2016

Nutrition Support for the Critically Ill

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“…In einer Beobachtungsstudie ist bei Patienten mit kompliziertem Verlauf und Intensivbehandlung nach der Extubation eine spontane Kalorienaufnahme nicht höher als 700 kcal/Tag gezeigt worden. Dies ist in einer Periode mit einer empfohlenen Energiezufuhr von 1,2-bis 1,5-mal dem Ruheenergiebedarf metabolisch völlig unzureichend und macht deutlich, wie wichtig die Beobachtung der spontanen oralen Nahrungsaufnahme in der Phase der Rekonvaleszenz ist [29].…”

Section: Poststationäre Ernährungunclassified

Ernährung bei operativen Maßnahmen

Weimann

2016

Onkologe

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Ernährung bei operativen MaßnahmenMangelernährung wird allgemein im Zusammenhang mit Fasten und Hunger bei Fehlen von Nahrung assoziiert. Im Rahmen einer Tumorerkrankung führt ein krankheitsassoziierter Gewichtsverlust gerade bei Patienten mit Überge-wicht, wenn überhaupt, sehr spät zu einem niedrigen Körpermassenin-dex (Body Mass Index, BMI) mit der Definition der Unterernährung durch die Weltgesundheitsorganisation (WHO) < 18,5 kg/m 2 . Der Gewichtsverlust für sich bedeutet jedoch eine Veränderung der Körperzusam-mensetzung, die ein "metabolisches Risiko" nach sich zieht, welches bei Patienten vor großen Tumoroperationen berücksichtigt werden muss.

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Adequacy of Oral Intake in Critically Ill Patients 1 Week after Extubation

Cited by 158 publications

References 36 publications

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway

Assessment of the Patient

Ernährung bei operativen Maßnahmen

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